Organization
JENCY ELAKKATT, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENCY ELAKKATT (OPTOMETRIST/ PRESIDENT)
(312) 318-4626
Entity
Organization
Contact information
Practice address
1460 GOLF RD, ROLLING MEADOWS, IL 60008-4206
(847) 734-0450
Mailing address
926 W STONEHEDGE DR, ADDISON, IL 60101-3159
(312) 318-4626
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009421
IL
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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